文章摘要

改良组织黏合剂注射法治疗胃底静脉曲张的临床应用

作者: 1左颖, 1刘璐
1 陆军军医大学新桥医院消化内科,重庆 400037
通讯: 刘璐 Email: 573693177@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.06.013

摘要

目的:评价改良组织黏合剂注射法用于治疗胃底静脉曲张的可行性。方法:收集2018年1月至2019年12月陆军军医大学新桥医院消化内科收治的胃底静脉曲张破裂出血采取改良组织黏合剂注射治疗的患者30例以及及采取传统注射治疗的同类患者30例。比较2种注射方法在术中的可操作性。结果:两组患者临床基本信息的差异无统计学意义,改良注射方法较传统注射方法手术用时短、堵针率低、术中出血量小,差异有统计学意义(P<0.01),两组患者的止血成功率及再出血率差异无统计学意义(P>0.05)。结论:改良注射方法与传统注射方法相比较虽然治疗效果无差异,但注射过程中采用改良注射组织黏合剂更方便快捷,安全性高,步骤简便可操作性强,值得临床借鉴及尝试。
关键词: 胃底静脉曲张;组织黏合剂;三明治法;空气法

Clinical application of modified tissue adhesive injection for gastric varices

Authors: 1ZUO Ying, 1LIU Lu
1 Department of Gastroenterology, Xinqiao Hospital, Army Military Medical University, Chongqing 400037, China

CorrespondingAuthor: LIU Lu Email: 573693177@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.06.013

Abstract

Objective: To evaluate the feasibility of modified tissue adhesive injection in the treatment of gastric varices. Methods: Sixty patients with gastric variceal bleeding admitted to the Department of Gastroenterology of Xinqiao Hospital from January 2018 to December 2019 were studied. Overall, 30 patients underwent traditional endoscopic injection (the traditional injection group), and 30 patients underwent a new method of modified tissue adhesive injection (the new injection method group). The operability of two injection methods in operation were compared. Results: There was no statistically significant difference in clinical basic information between the 2 groups. The new injection method group had shorter operation time, lower needle blocking rate and less intraoperative blood loss than the traditional injection method, and the difference was statistically significant (P<0.01). There was no statistically significant difference between the 2 groups in the success rate of hemostasis and the rate of rebleeding (P>0.05). Conclusion: Although there is no difference in the therapeutic effect between the 2 groups, the new injection method is more convenient and faster for operation with high safety, simple steps and strong operability, and is worthy of clinical reference and trial.
Keywords: gastric varices; tissue adhesive; sandwich method; air method